Provider Demographics
NPI:1265985519
Name:UMEJEI, JUNIQUE (NP)
Entity type:Individual
Prefix:
First Name:JUNIQUE
Middle Name:
Last Name:UMEJEI
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:JUNIQUE
Other - Middle Name:
Other - Last Name:ELYSEE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1200 HARBOR BLVD FL 1
Mailing Address - Street 2:
Mailing Address - City:WEEHAWKEN
Mailing Address - State:NJ
Mailing Address - Zip Code:07086-6728
Mailing Address - Country:US
Mailing Address - Phone:201-273-9822
Mailing Address - Fax:201-273-9826
Practice Address - Street 1:1200 HARBOR BLVD FL 1
Practice Address - Street 2:
Practice Address - City:WEEHAWKEN
Practice Address - State:NJ
Practice Address - Zip Code:07086-6728
Practice Address - Country:US
Practice Address - Phone:201-273-9822
Practice Address - Fax:201-273-9826
Is Sole Proprietor?:No
Enumeration Date:2016-08-03
Last Update Date:2024-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ26NJ00657400363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily